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Alerting, Orienting, Executive Control and Language Function in Post-stroke Aphasia Patients

Received: 3 March 2022     Accepted: 17 March 2022     Published: 23 March 2022
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Abstract

Background: Aphasia is frequently observed in post-stroke patients, and this population usually presents attention impairment. Attention is considered to play an important role in the language recovery of patients with Post-Stroke Aphasia (PSA). However, it is no idea whether language function correlates with attention performance. In our study, we investigated the association between attention and language function in PSA patients. Methods: This cross-sectional study was performed from September 2020 to May 2021. A total of 26 PSA patients and 26 healthy people without neurological disorders were recruited in this study. And demographic, language performance, attention performance were recorded. The Aphasia Battery of Chinese (ABC) was applied to assess language performance. Attention network tests were used to measure attention performance. The attention scores were compared between the PSA patients and healthy people. The correlation analysis and stepwise linear regression analysis are used to explore the relationship between attention and language in the PSA group. Results: A total of 26 PSA patients (male/female = 21:5) and 26 healthy people (male/female = 21:5) were enrolled in the study. The mean ages were 50.00 ± 9.01 years, 48.88 ± 7.01, respectively. According to ABC, 14 (53.85%) patients experienced Broca’s aphasia. In accordance with Attention Network Test (ANT), there were significant differences in accuracy and reaction time between the PSA group and the control group (all P<0.05). Orienting RT and alerting inverse efficiency (IE) were significant differences between the two groups. The spearman correlation revealed that executive control was associated with aphasia severity grade, repetition correlated with alerting, auditory comprehension correlated with orienting. And after the stepwise regression analysis, executive control RT alone emerged as a significant predictor of auditory comprehension. Alerting IE and orienting RT are the predictors of repetition. Conclusions: The results suggest that among PSA patients, language items (aphasia severity grade, auditory comprehension, and repetition) are related to three specific attention functions: alerting, orienting, and executive control. Disentangling the mechanism of attention deficits in PSA patients may provide a supplement for the rehabilitation strategies in PSA patients.

Published in Rehabilitation Science (Volume 7, Issue 1)
DOI 10.11648/j.rs.20220701.12
Page(s) 5-15
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2022. Published by Science Publishing Group

Keywords

Post-stroke Aphasia, Attention Network Test, Aphasia Battery of Chinese, Stroke, Attention

References
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Cite This Article
  • APA Style

    Qiao Huang, Tianxin Shu, Wuhua Xu, Zhuoming Chen. (2022). Alerting, Orienting, Executive Control and Language Function in Post-stroke Aphasia Patients. Rehabilitation Science, 7(1), 5-15. https://doi.org/10.11648/j.rs.20220701.12

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    ACS Style

    Qiao Huang; Tianxin Shu; Wuhua Xu; Zhuoming Chen. Alerting, Orienting, Executive Control and Language Function in Post-stroke Aphasia Patients. Rehabil. Sci. 2022, 7(1), 5-15. doi: 10.11648/j.rs.20220701.12

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    AMA Style

    Qiao Huang, Tianxin Shu, Wuhua Xu, Zhuoming Chen. Alerting, Orienting, Executive Control and Language Function in Post-stroke Aphasia Patients. Rehabil Sci. 2022;7(1):5-15. doi: 10.11648/j.rs.20220701.12

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  • @article{10.11648/j.rs.20220701.12,
      author = {Qiao Huang and Tianxin Shu and Wuhua Xu and Zhuoming Chen},
      title = {Alerting, Orienting, Executive Control and Language Function in Post-stroke Aphasia Patients},
      journal = {Rehabilitation Science},
      volume = {7},
      number = {1},
      pages = {5-15},
      doi = {10.11648/j.rs.20220701.12},
      url = {https://doi.org/10.11648/j.rs.20220701.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.rs.20220701.12},
      abstract = {Background: Aphasia is frequently observed in post-stroke patients, and this population usually presents attention impairment. Attention is considered to play an important role in the language recovery of patients with Post-Stroke Aphasia (PSA). However, it is no idea whether language function correlates with attention performance. In our study, we investigated the association between attention and language function in PSA patients. Methods: This cross-sectional study was performed from September 2020 to May 2021. A total of 26 PSA patients and 26 healthy people without neurological disorders were recruited in this study. And demographic, language performance, attention performance were recorded. The Aphasia Battery of Chinese (ABC) was applied to assess language performance. Attention network tests were used to measure attention performance. The attention scores were compared between the PSA patients and healthy people. The correlation analysis and stepwise linear regression analysis are used to explore the relationship between attention and language in the PSA group. Results: A total of 26 PSA patients (male/female = 21:5) and 26 healthy people (male/female = 21:5) were enrolled in the study. The mean ages were 50.00 ± 9.01 years, 48.88 ± 7.01, respectively. According to ABC, 14 (53.85%) patients experienced Broca’s aphasia. In accordance with Attention Network Test (ANT), there were significant differences in accuracy and reaction time between the PSA group and the control group (all P<0.05). Orienting RT and alerting inverse efficiency (IE) were significant differences between the two groups. The spearman correlation revealed that executive control was associated with aphasia severity grade, repetition correlated with alerting, auditory comprehension correlated with orienting. And after the stepwise regression analysis, executive control RT alone emerged as a significant predictor of auditory comprehension. Alerting IE and orienting RT are the predictors of repetition. Conclusions: The results suggest that among PSA patients, language items (aphasia severity grade, auditory comprehension, and repetition) are related to three specific attention functions: alerting, orienting, and executive control. Disentangling the mechanism of attention deficits in PSA patients may provide a supplement for the rehabilitation strategies in PSA patients.},
     year = {2022}
    }
    

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  • TY  - JOUR
    T1  - Alerting, Orienting, Executive Control and Language Function in Post-stroke Aphasia Patients
    AU  - Qiao Huang
    AU  - Tianxin Shu
    AU  - Wuhua Xu
    AU  - Zhuoming Chen
    Y1  - 2022/03/23
    PY  - 2022
    N1  - https://doi.org/10.11648/j.rs.20220701.12
    DO  - 10.11648/j.rs.20220701.12
    T2  - Rehabilitation Science
    JF  - Rehabilitation Science
    JO  - Rehabilitation Science
    SP  - 5
    EP  - 15
    PB  - Science Publishing Group
    SN  - 2637-594X
    UR  - https://doi.org/10.11648/j.rs.20220701.12
    AB  - Background: Aphasia is frequently observed in post-stroke patients, and this population usually presents attention impairment. Attention is considered to play an important role in the language recovery of patients with Post-Stroke Aphasia (PSA). However, it is no idea whether language function correlates with attention performance. In our study, we investigated the association between attention and language function in PSA patients. Methods: This cross-sectional study was performed from September 2020 to May 2021. A total of 26 PSA patients and 26 healthy people without neurological disorders were recruited in this study. And demographic, language performance, attention performance were recorded. The Aphasia Battery of Chinese (ABC) was applied to assess language performance. Attention network tests were used to measure attention performance. The attention scores were compared between the PSA patients and healthy people. The correlation analysis and stepwise linear regression analysis are used to explore the relationship between attention and language in the PSA group. Results: A total of 26 PSA patients (male/female = 21:5) and 26 healthy people (male/female = 21:5) were enrolled in the study. The mean ages were 50.00 ± 9.01 years, 48.88 ± 7.01, respectively. According to ABC, 14 (53.85%) patients experienced Broca’s aphasia. In accordance with Attention Network Test (ANT), there were significant differences in accuracy and reaction time between the PSA group and the control group (all P<0.05). Orienting RT and alerting inverse efficiency (IE) were significant differences between the two groups. The spearman correlation revealed that executive control was associated with aphasia severity grade, repetition correlated with alerting, auditory comprehension correlated with orienting. And after the stepwise regression analysis, executive control RT alone emerged as a significant predictor of auditory comprehension. Alerting IE and orienting RT are the predictors of repetition. Conclusions: The results suggest that among PSA patients, language items (aphasia severity grade, auditory comprehension, and repetition) are related to three specific attention functions: alerting, orienting, and executive control. Disentangling the mechanism of attention deficits in PSA patients may provide a supplement for the rehabilitation strategies in PSA patients.
    VL  - 7
    IS  - 1
    ER  - 

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Author Information
  • Department of Rehabilitation, Guangzhou Red-Cross Hospital, Jinan University, Guangzhou, China

  • Department of Rehabilitation, Guangzhou Red-Cross Hospital, Jinan University, Guangzhou, China

  • Department of Rehabilitation, Guangzhou Red-Cross Hospital, Jinan University, Guangzhou, China

  • Department of Rehabilitation, The First Affiliated Hospital of Jinan University, Jinan University, Guangzhou, China

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